| OM1.1[1] |
Sequence Number - Test/Observation Master File |
73 |
IG Fixed Data |
| OM1.2[1] |
Producer's Service/Test/Observation ID |
|
|
| OM1.2[1].1 |
Identifier |
600 |
Changeable Data |
| OM1.2[1].2 |
Text |
Prostate Biopsy Pathology Report |
Changeable Data |
| OM1.2[1].3 |
Name of Coding System |
99USI |
Changeable Data |
| OM1.2[1].7 |
Coding System Version ID |
20130421 |
Changeable Data |
| OM1.4[1] |
Specimen Required |
Y |
Changeable Data |
| OM1.5[1] |
Producer ID |
|
|
| OM1.5[1].1 |
Identifier |
05D0669071 |
Changeable Data |
| OM1.5[1].2 |
Text |
Century Hospital Clinical Laboratory |
Changeable Data |
| OM1.5[1].3 |
Name of Coding System |
99USI |
Changeable Data |
| OM1.5[1].7 |
Coding System Version ID |
2013 |
Changeable Data |
| OM1.5[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.7[1] |
Other Service/Test/Observation IDs for the Observation |
|
|
| OM1.7[1].1 |
Identifier |
66117-3 |
Test Case Fixed Data |
| OM1.7[1].2 |
Text |
Prostate Pathology biopsy report |
Changeable Data |
| OM1.7[1].3 |
Name of Coding System |
LN |
Test Case Fixed Data |
| OM1.7[1].7 |
Coding System Version ID |
2.42 |
Changeable Data |
| OM1.9[1] |
Preferred Report Name for the Observation |
Prostate Biopsy Pathology Report |
Changeable Data |
| OM1.10[1] |
Preferred Short Name on Mnemonic for Observation |
|
|
| OM1.11[1] |
Preferred Long Name for the Observation |
|
|
| OM1.12[1] |
Orderability |
Y |
Test Case Fixed Data |
| OM1.18[1] |
Nature of Service/Test/Observation |
A |
IG Fixed Data |
| OM1.27[1] |
Outside Site(s) Where Observation may be Performed |
|
|
| OM1.27[1].1 |
Identifier |
05D8884444 |
Changeable Data |
| OM1.27[1].2 |
Text |
Pacific Anatomic Pathology Services |
Changeable Data |
| OM1.27[1].3 |
Name of Coding System |
99USI |
Changeable Data |
| OM1.27[1].7 |
Coding System Version ID |
2013 |
Changeable Data |
| OM1.27[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.27[2] |
Outside Site(s) Where Observation may be Performed |
|
|
| OM1.27[2].1 |
Identifier |
O5D75654321 |
Changeable Data |
| OM1.27[2].2 |
Text |
Acme Laboratories - Los Angeles |
Changeable Data |
| OM1.27[2].3 |
Name of Coding System |
99USI |
Changeable Data |
| OM1.27[2].7 |
Coding System Version ID |
2013 |
Changeable Data |
| OM1.27[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.28[1] |
Address of Outside Site(s) |
|
|
| OM1.28[1].1 |
Street Address |
|
|
| OM1.28[1].1.1 |
Street or Mailing Address |
2216 Santa Monica Blvd |
Changeable Data |
| OM1.28[1].3 |
City |
Santa Monica |
Changeable Data |
| OM1.28[1].4 |
State or Province |
CA |
Changeable Data |
| OM1.28[1].5 |
Zip or Postal Code |
90404 |
Changeable Data |
| OM1.28[1].6 |
Country Code |
USA |
Changeable Data |
| OM1.28[1].7 |
Address Type |
L |
Changeable Data |
| OM1.28[2] |
Address of Outside Site(s) |
|
|
| OM1.28[2].1 |
Street Address |
|
|
| OM1.28[2].1.1 |
Street or Mailing Address |
8635 West 3rd Street |
Changeable Data |
| OM1.28[2].3 |
City |
Los Angeles |
Changeable Data |
| OM1.28[2].4 |
State or Province |
CA |
Changeable Data |
| OM1.28[2].5 |
Zip or Postal Code |
90048 |
Changeable Data |
| OM1.28[2].6 |
Country Code |
USA |
Changeable Data |
| OM1.28[2].7 |
Address Type |
L |
Changeable Data |
| OM1.31[1] |
Observations Required to Interpret the Observation |
|
|
| OM1.31[1].1 |
Identifier |
|
|
| OM1.31[1].2 |
Text |
|
|
| OM1.31[1].3 |
Name of Coding System |
|
|
| OM1.31[1].7 |
Coding System Version ID |
|
|
| OM1.31[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.31[2] |
Observations Required to Interpret the Observation |
|
|
| OM1.31[2].1 |
Identifier |
|
|
| OM1.31[2].2 |
Text |
|
|
| OM1.31[2].3 |
Name of Coding System |
|
|
| OM1.31[2].7 |
Coding System Version ID |
|
|
| OM1.31[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.32[1] |
Interpretation of Observations |
Histologic evaluation of prostate biopsy specimens and additional prognostic information following histologic diagnosis. These
tests help clinicians to diagnose prostate cancer.
|
Changeable Data |
| OM1.33[1] |
Contraindications to Observations |
|
|
| OM1.33[1].1 |
Identifier |
|
|
| OM1.33[1].2 |
Text |
Contraindications to prostate biopsy include acute painful perianal disorders, bleeding diathesis, acute prostatitis, and
severe immunosuppression.
|
Changeable Data |
| OM1.33[1].3 |
Name of Coding System |
|
|
| OM1.33[1].7 |
Coding System Version ID |
|
|
| OM1.33[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.33[2] |
Contraindications to Observations |
|
|
| OM1.33[2].1 |
Identifier |
79411002 |
Changeable Data |
| OM1.33[2].2 |
Text |
Acute prostatitis |
Changeable Data |
| OM1.33[2].3 |
Name of Coding System |
SCT |
Changeable Data |
| OM1.33[2].7 |
Coding System Version ID |
20130131 |
Changeable Data |
| OM1.33[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.34[1] |
Reflex Tests/Observations |
|
|
| OM1.34[1].1 |
Identifier |
|
|
| OM1.34[1].2 |
Text |
|
|
| OM1.34[1].3 |
Name of Coding System |
|
|
| OM1.34[1].4 |
Alternate Identifier |
|
|
| OM1.34[1].5 |
Alternate Text |
|
|
| OM1.34[1].6 |
Name of Alternate Coding System |
|
|
| OM1.34[1].7 |
Coding System Version ID |
|
|
| OM1.34[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.34[2] |
Reflex Tests/Observations |
|
|
| OM1.34[2].1 |
Identifier |
|
|
| OM1.34[2].2 |
Text |
|
|
| OM1.34[2].3 |
Name of Coding System |
|
|
| OM1.34[2].4 |
Alternate Identifier |
|
|
| OM1.34[2].5 |
Alternate Text |
|
|
| OM1.34[2].6 |
Name of Alternate Coding System |
|
|
| OM1.34[2].7 |
Coding System Version ID |
|
|
| OM1.34[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.35[1] |
Rules that Trigger Reflex Testing |
|
|
| OM1.35[2] |
Rules that Trigger Reflex Testing |
|
|
| OM1.37[1] |
Patient Preparation |
|
|
| OM1.37[2] |
Patient Preparation |
|
|
| OM1.39[1] |
Factors that may Affect the Observation |
Specimen submitted unfixed; improperly labeled specimen; unlabeled specimen |
Changeable Data |
| OM1.40[1] |
Service/Test/Observation Performance Schedule |
Daily |
Changeable Data |
| OM1.40[2] |
Service/Test/Observation Performance Schedule |
|
|
| OM1.48[1] |
Exclusive Test |
N |
Changeable Data |
| OM1.49[1] |
Diagnostic Service Sector ID |
OSL |
Changeable Data |
| OM1.51[1] |
Other Names |
|
|
| OM1.51[2] |
Other Names |
|
|
| OM1.52[1] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[1].1 |
Identifier |
|
|
| OM1.52[1].2 |
Text |
|
|
| OM1.52[1].3 |
Name of Coding System |
|
|
| OM1.52[1].4 |
Alternate Identifier |
|
|
| OM1.52[1].5 |
Alternate Text |
|
|
| OM1.52[1].6 |
Name of Alternate Coding System |
|
|
| OM1.52[1].7 |
Coding System Version ID |
|
|
| OM1.52[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.52[2] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[2].1 |
Identifier |
|
|
| OM1.52[2].2 |
Text |
|
|
| OM1.52[2].3 |
Name of Coding System |
|
|
| OM1.52[2].4 |
Alternate Identifier |
|
|
| OM1.52[2].5 |
Alternate Text |
|
|
| OM1.52[2].6 |
Name of Alternate Coding System |
|
|
| OM1.52[2].7 |
Coding System Version ID |
|
|
| OM1.52[2].8 |
Alternate Coding System Version ID |
|
|
| OM1.52[3] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[3].1 |
Identifier |
|
|
| OM1.52[3].2 |
Text |
|
|
| OM1.52[3].3 |
Name of Coding System |
|
|
| OM1.52[3].4 |
Alternate Identifier |
|
|
| OM1.52[3].5 |
Alternate Text |
|
|
| OM1.52[3].6 |
Name of Alternate Coding System |
|
|
| OM1.52[3].7 |
Coding System Version ID |
|
|
| OM1.52[3].8 |
Alternate Coding System Version ID |
|
|
| OM1.52[4] |
Replacement Producer's Service/Test/Observation ID |
|
|
| OM1.52[4].1 |
Identifier |
|
|
| OM1.52[4].2 |
Text |
|
|
| OM1.52[4].3 |
Name of Coding System |
|
|
| OM1.52[4].4 |
Alternate Identifier |
|
|
| OM1.52[4].5 |
Alternate Text |
|
|
| OM1.52[4].6 |
Name of Alternate Coding System |
|
|
| OM1.52[4].7 |
Coding System Version ID |
|
|
| OM1.52[4].8 |
Alternate Coding System Version ID |
|
|
| OM1.53[1] |
Prior Results Instructions |
When ordering a Prostate biopsy, send prior Prostate Specific Antigen (PSA) results |
Changeable Data |
| OM1.53[2] |
Prior Results Instructions |
When ordering a Prostate biopsy, send prior relevant clinical findings. |
Changeable Data |
| OM1.54[1] |
Special Instructions |
Submit Surgical Pathology Requisition and Biopsy Worksheet with specimen |
Changeable Data |
| OM1.54[2] |
Special Instructions |
|
|
| OM1.55[1] |
Test Relationship Category |
|
|
| OM1.55[1].1 |
Identifier |
|
|
| OM1.55[1].2 |
Text |
|
|
| OM1.55[1].3 |
Name of Coding System |
|
|
| OM1.55[1].7 |
Coding System Version ID |
|
|
| OM1.55[1].8 |
Alternate Coding System Version ID |
|
|
| OM1.56[1] |
Observation Identifier associated with Producer's Service/Test/Observation ID |
|
|
| OM1.56[1].1 |
Identifier |
66117-3 |
Changeable Data |
| OM1.56[1].2 |
Text |
Prostate Pathology biopsy report |
Changeable Data |
| OM1.56[1].3 |
Name of Coding System |
LN |
Test Case Fixed Data |
| OM1.56[1].4 |
Alternate Identifier |
600 |
Changeable Data |
| OM1.56[1].5 |
Alternate Text |
Prostate Biopsy Pathology Report |
Changeable Data |
| OM1.56[1].6 |
Name of Alternate Coding System |
99USI |
Changeable Data |
| OM1.56[1].7 |
Coding System Version ID |
2.48 |
Changeable Data |
| OM1.56[1].8 |
Alternate Coding System Version ID |
20130421 |
Changeable Data |
| OM1.56[1].9 |
Original Text |
|
|
| OM1.57[1] |
Expected Turn-Around Time |
|
|
| OM1.57[1].1 |
Quantity |
3 |
Changeable Data |
| OM1.57[1].2 |
Units |
|
|
| OM1.57[1].2.1 |
Identifier |
d |
Changeable Data |
| OM1.57[1].2.2 |
Text |
day |
Changeable Data |
| OM1.57[1].2.3 |
Name of Coding System |
UCUM |
Changeable Data |
| OM1.57[1].2.7 |
Coding System Version ID |
1.8 |
Changeable Data |
| OM1.57[1].2.8 |
Alternate Coding System Version ID |
|
|